Fever in the returned traveller: remember rickettsial diseases

Raeber, P.-A.; Winteler, Silvia; Paget, John

doi:10.1016/s0140-6736(94)91368-4

Cited by 21 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Zuvor ist die Entnahme der Proben -insbesondere der Biopsie -für die Diagnostik zu gewährleisten. Therapeutikum der ersten Wahl ist Doxycyclin per os (2 x 100 mg / d) über 7-10 Tage [1,4,6,9]. Bei Kontraindikationen wäre außerdem eine Behandlung mit Ciprofloxacin (2 x 750 mg / d) oder Chloramphenicol möglich [1,4].…”

Section: Histologie | Ein Vaskulitisches Bild Mit Fibrinoidenunclassified

See 1 more Smart Citation

Rickettsiose

Schlinsog¹,

Kreft²,

Marsch³

2016

Dtsch med Wochenschr

View full text Add to dashboard Cite

A 59-year-old man complained deterioration of general health after a 3-week vacation to South Africa. He presented fever and hemorrhagic erythema with pustula surrounded by necrotic margin on the right calf. COURSE AND THERAPY: On the second day of inpatient treatment, a papulovesiculous, partly hemorrhagic exanthema appeared. With a tentative diagnosis of Rickettsiosis, we performed specific diagnostics by serology and biopsy. Therapy was initiated with doxycycline (200 mg/d) for 7 days. Under this regimen clinical symptoms healed without consequences. Rickettsioses are ubiquitious zoonoses that are caused by various Rickettsia subtypes. The stay in endemic regions together with signs of fever, reduced general health, eschar and exanthema are suspicious for this disease. Therapy should be initiated immediately in cases of clinical suspicion with a characteristic case history. The seroconversion, which appears later in course, should not give reason for avoiding early skin biopsy due to the potentially fatal course of the disease. Biopsy enables early histological proof of a dermal vasculitic inflammation pattern and PCR analysis before subsequent serological controls and proofs.

show abstract

Section: Histologie | Ein Vaskulitisches Bild Mit Fibrinoidenunclassified

“…Dabei spielt die Reiseanamnese eine wichtige Rolle. [4,9]. Das Südafrikanische Zeckenbissfieber ist ähnlich wie das Mittelmeer-Fleckfieber durch einen milderen Erkrankungsverlauf charakterisiert [1].…”

unclassified

Rickettsiose

Schlinsog¹,

Kreft²,

Marsch³

2016

Dtsch med Wochenschr

View full text Add to dashboard Cite

show abstract

“…In Switzerland, it is estimated that rickettsial infection is actually the third most frequent cause of imported acute febrile diseases, only surpassed by malaria and enteric fever. 13 In Swedish travellers to southern Africa, the estimated risk of contracting rickettsioses increased during 1997-2001 and is now four to five times higher than the risk of acquiring malaria in the same region. 14 Finally, in 530 German travellers who presented at an out-patient travel clinic with fever after a trip to southern Africa, as many as 11% had serological evidence of recent spotted fever group rickettsioses.…”

Section: Introductionmentioning

confidence: 99%

Tick-borne rickettsioses in international travellers

Jensenius

Fournier

Raoult

2004

International Journal of Infectious Diseases

View full text Add to dashboard Cite

show abstract

African Tick-Bite Fever

Brouqui¹

1997

Arch Intern Med

View full text Add to dashboard Cite

With increasing international travel, a need for the recognition of rickettsial diseases by physicians is becoming more important. Tick-bite fever, a disease caused by R africae and transmitted by Amblyomma ticks, is characterized by multiple taches noire, lymphadenopathy, lymphangitis, and edema, but no rash or a discrete rash. It is a frequent but benign disease that physicians should consider when presented with febrile patients returning from southern Africa.

show abstract

Fever in the returned traveller: remember rickettsial diseases

Cited by 21 publications

References 2 publications

Rickettsiose

Rickettsiose

Tick-borne rickettsioses in international travellers

African Tick-Bite Fever

Contact Info

Product

Resources

About